Philadelphia Cousins in Wheat Ridge - Clinical

Philadelphia Cousins - NPI 1629191432

Philadelphia Cousins is a Clinical in Wheat Ridge, Colorado. Philadelphia Cousins practices all healthcare services and medical treatments related to Clinical. The NPI Number for Philadelphia Cousins is 1629191432. The last update date is 2007-07-08.

Philadelphia Cousins's current location address is 4251 Kipling St, Wheat Ridge, Colorado. You can contact this provider via phone number 3034213811. The mailing address for Philadelphia Cousins is 4251 Kipling St, Wheat Ridge, Colorado. To know further, please read the information below!

Provider Profile Detail

Provider Name Philadelphia Cousins
Address 4251 Kipling St, Wheat Ridge, Colorado
Phone Number 3034213811
Fax Number
Sole Proprietor Y
Credentials PH.D.

NPI Number Detail

NPI Number 1629191432
Provider Enumeration Date 2007-04-08
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 4251 Kipling St
City Wheat Ridge
State Colorado (CO)
Post Code 800332896
Phone Number 3034213811
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No 1051
Definition:
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
89996 CO BLUE CROSS BLUE SHIELD ID

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FAQs about Philadelphia Cousins

What is the unique identifier code issued to Philadelphia Cousins by the Centers for Medicare & Medicaid Services?

The Philadelphia Cousins has been assigned the NPI (National Provider Identifier) 1629191432. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Philadelphia Cousins?

The Philadelphia Cousins is physically situated at 4251 Kipling St, in the city of Wheat Ridge, state of CO, with the postal code 800332896.

What is the Philadelphia Cousins's specialty and taxonomy code?

The Philadelphia Cousins's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.

When did the Philadelphia Cousins receive its 1629191432?

The Philadelphia Cousins was issued its 1629191432 on 2007-04-08, which is the date when the organization was assigned this unique identifier.

As of what date were the Philadelphia Cousins's details last updated?

The information pertaining to the Philadelphia Cousins, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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